Brightwater Retirement, LLC
NPI 1407090434 · Skilled Nursing Facility · Myrtle Beach, SC
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brightwater Retirement, LLC is a Skilled Nursing Facility organization in Myrtle Beach, SC (NPI 1407090434).
Provider details
- NPI number
- 1407090434
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Ventola, Sr. Vp of Administration(704) 246-1610
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Home Health Agency251E00000X
Agencies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Brightwater
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2016-01-14
Frequently asked questions
- What is Brightwater Retirement, LLC's NPI number?
- Brightwater Retirement, LLC's National Provider Identifier (NPI) is 1407090434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brightwater Retirement, LLC?
- Brightwater Retirement, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Brightwater Retirement, LLC located?
- Brightwater Retirement, LLC's practice location on file with NPPES is 101 Brightwater Dr, Myrtle Beach, SC 29579-8268.
- What is Brightwater Retirement, LLC's phone number?
- The practice phone number listed in the NPPES registry for Brightwater Retirement, LLC is (843) 903-8300.
- Does Brightwater Retirement, LLC accept Medicare?
- Brightwater Retirement, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brightwater Retirement, LLC?
- The authorized official listed on Brightwater Retirement, LLC's NPPES record is Gary Ventola, Sr. Vp of Administration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brightwater Retirement, LLC's NPI active?
- Yes — Brightwater Retirement, LLC's NPI (1407090434) is active in the NPPES registry as of the last update on 2016-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.